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Medicare correspondence representative vs provider services representative

The differences between medicare correspondence representatives and provider services representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a medicare correspondence representative, becoming a provider services representative takes usually requires 6-12 months. Additionally, a medicare correspondence representative has an average salary of $37,896, which is higher than the $33,858 average annual salary of a provider services representative.

The top three skills for a medicare correspondence representative include patients, appeals and customer issues. The most important skills for a provider services representative are customer service, data entry, and patients.

Medicare correspondence representative vs provider services representative overview

Medicare Correspondence RepresentativeProvider Services Representative
Yearly salary$37,896$33,858
Hourly rate$18.22$16.28
Growth rate-4%-4%
Number of jobs28,554252,118
Job satisfaction--
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 41%
Average age4040
Years of experience412

Medicare correspondence representative vs provider services representative salary

Medicare correspondence representatives and provider services representatives have different pay scales, as shown below.

Medicare Correspondence RepresentativeProvider Services Representative
Average salary$37,896$33,858
Salary rangeBetween $29,000 And $49,000Between $24,000 And $46,000
Highest paying City-New York, NY
Highest paying state-New York
Best paying company-Oracle
Best paying industry-Health Care

Differences between medicare correspondence representative and provider services representative education

There are a few differences between a medicare correspondence representative and a provider services representative in terms of educational background:

Medicare Correspondence RepresentativeProvider Services Representative
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 41%
Most common majorBusinessBusiness
Most common collegeStanford University-

Medicare correspondence representative vs provider services representative demographics

Here are the differences between medicare correspondence representatives' and provider services representatives' demographics:

Medicare Correspondence RepresentativeProvider Services Representative
Average age4040
Gender ratioMale, 24.6% Female, 75.4%Male, 22.2% Female, 77.8%
Race ratioBlack or African American, 10.4% Unknown, 4.9% Hispanic or Latino, 21.2% Asian, 6.2% White, 56.6% American Indian and Alaska Native, 0.6%Black or African American, 11.5% Unknown, 5.1% Hispanic or Latino, 20.4% Asian, 6.4% White, 55.9% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between medicare correspondence representative and provider services representative duties and responsibilities

Medicare correspondence representative example responsibilities.

  • Manage CMS communications throughout the organization.
  • Follow specific HIPAA guidelines as set forth by company regulations.
  • Maintain, update, and review member files adhering to strict HIPPA guidelines.
  • Send high volume of written correspondence/affirmation letters to providers and patients.
  • Provide professional and confidentiality with patient information due to HIPPA regulations.
  • Assist with data reports by comparing enrollment error reports against system information along with CMS records to validate information accuracy.
    • Show more

Provider services representative example responsibilities.

  • Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
  • Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
  • Proof reading contracts in order to adjust claims according to proper DRG, ICD-9, and CPT codes.
  • Complete the surgery schedule and ensure all patients are aware of their financial responsibility prior to the surgery date.
  • Help providers with all information about CPT codes such as authorizations, restrictions, fee schedules, and correct diagnosis codes.
  • Register patients for surgery in computer system.
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Medicare correspondence representative vs provider services representative skills

Common medicare correspondence representative skills
  • Patients, 18%
  • Appeals, 9%
  • Customer Issues, 8%
  • CMS, 7%
  • Medicaid, 6%
  • Inbound Calls, 6%
Common provider services representative skills
  • Customer Service, 24%
  • Data Entry, 6%
  • Patients, 5%
  • Medicaid, 5%
  • Health Insurance, 4%
  • Appeals, 3%

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Updated January 8, 2025

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